DANIEL J WEBER (Credential# 1309639) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
DANIEL J WEBER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054853-DO. The credential type is physician/surgeon. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 55 Lake Ave N, Worcester, MA 01655-0002. The current status is inactive.
| Licensee Name | DANIEL J WEBER |
| Credential ID | 1309639 |
| Credential Number | 1.054853-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-01-07 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2018-09-30 |
| Refresh Date | 2019-01-03 |
| Street Address | 55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Henninger | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adalia H. Jun-o'connell | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Shirin Haddady Md | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Craig Smith Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mira Torres Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Mady Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Umass Memorial Medical Center Specialty Pharmacy | 55 Lake Ave North Acc Building 1st Floor, Worcester, MA 01655-0002 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E.s. P Weber | 100 Woodsville, Hopewell, NJ 08525 | Physician/surgeon | 1999-01-06 ~ 1999-12-31 |
| Steven I Weber | 6 Flintrock Rd, Fishkill, NY 12524 | Physician/surgeon | 1991-05-23 ~ 1992-02-18 |
| Thomas J Weber | 167 Fountain St, New Haven, CT 06515 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Aubre A. Weber | 69 S Salem Rd, Ridgefield, CT 06877-4828 | Physician/surgeon | 2020-06-05 ~ 2020-09-30 |
| Anne M Weber | 17 Trumbull St, Manchester, CT 06040 | Physician/surgeon | 1992-02-24 ~ 1993-02-28 |
| Richard B Weber | 1275 Summer St, Stamford, CT 06905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jill M Weber | 21757 Graves Dr, Lewes, DE 19958-5798 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mahesh N Kabadi | 72 Weber Farm Rd, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Liliana C Galan | 29 Weber Farm Rd, Norwich, CT 06360-5236 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barbara Weber-chess Md | 1990 Elm St, Stratford, CT 06615 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).